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Articles by Gerardo Sison
The diabetes medication chart: Types, uses, and costs at a glance
Key takeaways There are various types of drug classes when it comes to diabetes medication, with each lowering blood sugar in a different way. While clinical charts might explain how drugs work, they often skip over the potential costs; for example, a one-month supply of metformin can be as low as $5 versus almost $1,000 or more for a month of Mounjaro.
A pharmacist’s guide to oral GLP-1s
Key takeaways Three oral GLP-1s are currently approved by the FDA, covering management for Type 2 diabetes, weight loss, and cardiovascular risk reduction. Dosing instructions vary between the pills, with oral Ozempic needing to be taken on an empty stomach and Foundayo offering more flexibility with anytime dosing. Pharmacists can help patients improve on oral GLP-1s with practical tips on timing, missed doses, adverse effects, and access to their medication.
Do losartan and alcohol mix?
Key takeaways Losartan and alcohol don’t directly interact, but mixing the two can cause amplified effects like dizziness and lightheadedness. Occasional moderate drinking may be fine once the body has adjusted to losartan. Heavy drinking can worsen blood pressure control over time and increase the risks of falls, kidney problems, and other side effects.
What to know before mixing Zofran and alcohol
Key takeaways There’s no known direct interaction between Zofran and alcohol, but combining them can still worsen side effects like dizziness, headache, and nausea. Mixing Zofran with alcohol may be riskier for older adults and people with liver problems because both can be harder for the body to process. Waiting around a day after taking Zofran can ensure that it’s completely cleared from the body before drinking alcohol.
The pharmacist’s role in kidney health
Key takeaways Most patients with CKD don’t know they have it, underscoring the importance of pharmacist awareness for early detection. Pharmacists should know potential kidney risks of medications and watch for dangerous drug combos, such as the “triple whammy.” Counseling on OTC medications like NSAIDs is an easy touchpoint for counseling patients on kidney health. In this article Kidney disease is a progressive condition that many patients live with, sometimes without even knowing they have it.
Can you drink on Macrobid?
Key takeaways While Macrobid doesn’t directly interact with alcohol, drinking can worsen the side effects and may slow recovery from a UTI. People with liver or kidney disease and older adults are at an increased risk from mixing Macrobid and alcohol due to how both are processed in the body. It’s best to avoid alcohol until after completing the full course of Macrobid, which usually lasts around one week.
How pharmacists can counsel patients on ED treatment
Key takeaways Erectile dysfunction is a common men’s health problem and can be an early sign of more serious underlying conditions. ED medications are effective when taken as prescribed, but high-fat foods, alcohol, and drug interactions may alter the results or increase the risk of side effects. Most OTC and “natural” ED products lack strong clinical evidence to support their use, and most healthcare providers recommend prescription treatments instead.
Can you drink alcohol while taking Claritin?
Key takeaways Claritin is less sedating than older antihistamines, but alcohol can still increase drowsiness or dizziness and cause slower reaction times. Some people, especially older adults, those with liver disease, or people taking sedating medications, are at higher risk when mixing Claritin and alcohol. It’s safest to avoid alcohol on Claritin or wait at least a day after your last dose before drinking.
Cefdinir alternatives: What can I take instead of cefdinir?
Key takeaways Cefdinir may not be suitable for everyone, as some individuals may require a different antibiotic due to allergies, side effects, or antibiotic resistance. Potential alternatives include amoxicillin-clavulanate, azithromycin, and doxycycline, depending on the infection being treated. Switching antibiotics should always be managed by a healthcare provider.
Why clonazepam and alcohol don’t mix
Key takeaways Mixing clonazepam and even small amounts of alcohol can cause increased drowsiness, dizziness, confusion, and respiratory depression. Older adults or people with liver, kidney, or lung problems may have higher risks of side effects from combining the two. It stays in your body longer than you think. Wait at least a week after your last dose before having a cocktail.
How much does tizanidine cost without insurance?
Key takeaways Generic tizanidine averages about $50 for 30 tablets, but prices can vary by pharmacy and dosage. Brand-name Zanaflex costs roughly $131 for the same quantity, though generics have been available since 2002. Using a SingleCare discount may help reduce the price to around $4, or around 90% off the average retail cost. In this article Tizanidine is a prescription generic drug approved to treat muscle spasms often caused by multiple sclerosis or brain and spinal injuries.
How pharmacists can prevent nutrient deficiencies from GLP-1s
Key takeaways Lower appetite and GI side effects could lead to nutrient deficiencies in patients taking GLP-1s. Pharmacists can watch for early signs of deficiency and recommend a balanced diet or specific supplements. Key nutrients that patients on GLP-1s need include protein, fiber, electrolytes, and essential vitamins and minerals. In this article Pharmacists are filling prescriptions for GLP-1 medications like Ozempic and Wegovy more than ever before.
7 ways pharmacists can boost patient success with CGMs
Key takeaways Pharmacists can help patients get started with CGMs and troubleshoot common problems. Encourage patients to focus on overall trends, not just single numbers, when looking at their glucose data. Patients may need support understanding their options, potential costs, and device instructions so they can get the most out of their CGMs. In this article Continuous glucose monitors (CGMs) have changed how patients manage diabetes for the better.
Does Cigna cover Contrave?
Key takeaways Cigna may cover Contrave, but prior authorization is usually required, and coverage can vary by plan. Contrave may be covered for the first four months of treatment, and patients typically must show they’ve lost at least 5% of their weight to extend their coverage. Without insurance, Contrave can cost over $800 a month since it’s only available as a brand-name drug. In this article Contrave is a prescription drug that contains naltrexone and bupropion to help with weight loss.
Does Aetna cover Farxiga?
Key takeaways Farxiga is a brand-name SGLT2 inhibitor covered on most Aetna formularies when prescribed for Type 2 diabetes, heart failure, or chronic kidney disease. In Aetna Medicare plans, it’s placed on Tier 2 with lower costs, while Medicaid may cover it with stricter rules that vary by state. Without insurance, Farxiga costs about $823 for 30, 10 mg tablets, though copays and savings programs may help reduce the price.
Is it safe to drink while taking doxycycline?
Key takeaways Most people can safely have a drink or two while taking doxycycline in moderation. Heavy drinking can worsen side effects like nausea and stomach pain, and delay recovery from an infection. Those with liver problems or older adults may have a higher risk of side effects when mixing alcohol and doxycycline. In this article Doxycycline is a commonly prescribed antibiotic in the tetracycline class, available as an oral tablet or capsule.
Gemtesa side effects and how to avoid them
Key takeaways Gemtesa can cause mild side effects like headache, nausea, diarrhea, or cold-like symptoms. Serious risks include urinary retention, angioedema, high blood pressure, and severe urinary tract infections (UTIs). People with severe liver or kidney disease, allergies, or bladder blockages should avoid Gemtesa.
Vraylar generic availability, cost, and more
Key takeaways Vraylar (cariprazine) is brand-only, and no generic is expected until around 2029. Its potentially high cost is largely due to current patent protection. Alternatives like Abilify, Seroquel, or Zyprexa are available as generics and may be more accessible. In this article Vraylar is a brand-name antipsychotic medication that doctors use to treat serious mental health conditions.
Is it safe to drink while taking Prozac?
Key takeaways Mixing Prozac and alcohol can be risky and is not generally recommended. The combination may cause drowsiness, worsen depression, and increase the risk of seizures, among other side effects. The safest option is to avoid alcohol while on Prozac, since even small amounts can cause unpredictable effects.
Innovations in immunization delivery
Key takeaways RSV, combination, and intranasal vaccines are improving protection and convenience for patients. New technologies like mRNA and microneedle patches could soon change how vaccines are produced and given. Pharmacists are at the forefront of vaccines, but new advances can bring changes in training, storage, and workflow. In this article Vaccine technology is moving faster these days.
How pharmacists can support patients taking insulin
Key takeaways Insulin therapy can be overwhelming for many patients because of fears, side effects, costs, and other challenges. Pharmacists can give advice and reassurance that can make treatment easier to manage. Pharmacists can educate patients on how to inject insulin, explain side effects, and encourage them to stay on top of their diabetes. In this article Millions of people depend on insulin to control their blood sugar every single day.
What you should know about prescription Vyvanse
Key takeaways Vyvanse is a prescription stimulant used to treat certain mental health conditions. Because it’s a controlled substance, only licensed providers with a DEA registration can prescribe Vyvanse after a proper diagnosis. Side effects like dry mouth, insomnia, and appetite loss are common, although serious effects like slowed growth in children and serotonin syndrome are possible.
How to transfer your prescription to another pharmacy: Step by step
Key takeaways Most prescriptions can be transferred in just a few steps without much effort. Controlled substances have stricter limits and may require a new prescription. Delays can happen with expired prescriptions, insurance problems, or drug shortages. In this article Moving to a new neighborhood, switching insurance, or even just trying to snag better prices? You might be asking: How do you actually get your meds from one pharmacy to another?
How pharmacies can prepare for the back-to-school season
Key takeaways Back-to-school season can get busy in the pharmacy, with many looking for vaccines or to stock up on certain medications and wellness supplies. Adjusting the workflow in the pharmacy and having enough staff can help manage the rush and keep operations running smoothly. Families with children with special health needs or chronic conditions may need extra support during this busy time. In this article Back-to-school season can be hectic for a lot of retail pharmacists.
Can you drink on Depakote?
Key takeaways Mixing alcohol and Depakote can increase drowsiness, dizziness, and seizures, among other problems. Older people and those with kidney problems may have higher risks of side effects when combining Depakote and alcohol. Some people may be able to drink in moderation with Depakote, with the risks of side effects increasing with larger amounts of alcohol.
Ivermectin for fatty liver: What research says
Key takeaways Ivermectin isn’t approved for fatty liver disease, but early studies suggest it may improve liver health by reducing liver fat, inflammation, and scarring. Despite the potential benefits, rare cases of severe liver injury, including liver failure, have been reported with ivermectin use, especially in COVID-19 patients. Lifestyle changes, such as weight loss, a balanced diet, and regular exercise, are recommended as the most effective treatments for fatty liver disease.
Strongest allergy medicine: What works fast for allergy relief
Key takeaways No one allergy medicine works best for everyone; the ideal choice depends on your symptoms, age, and how your body reacts. Antihistamines, decongestants, steroid nasal sprays, and other medicines may work for different allergy symptoms like congestion, sneezing, or itchy eyes. In addition to medication, reducing allergens at home through the use of air purifiers, nasal rinses, or regular cleaning can help manage symptoms.
How to nurture a pharmacist-patient relationship
Key takeaways Trust between pharmacists and patients may help improve medication adherence and lead to better health outcomes. Building relationships is possible despite a heavy workload; it just takes small, intentional habits. Quick, personal interactions can make patients feel heard and cared for, while also making work more rewarding for pharmacists. In this article Pharmacists do a lot more than just count pills behind the counter.
Vyvanse vs. Adderall dosage, equivalency, and guidelines
Key takeaways Vyvanse and Adderall differ in dosing and strength because they contain different ingredients, and Vyvanse must be activated in the body to take effect. A typical starting dosage of Vyvanse is 30 mg once daily, while Adderall often starts at 5 mg, taken once or twice daily. Vyvanse lasts up to 14 hours with a single dose, while Adderall may require multiple doses depending on the formulation.
Do Qsymia and alcohol mix?
Key takeaways Combining alcohol with Qsymia can worsen side effects like dizziness, mood changes, and heart problems. Drinking while taking Qsymia may also make it harder to lose weight, as alcoholic beverages may contain extra calories and sugar. People with kidney problems, liver problems, or older age might be more affected by alcohol while on Qsymia. In this article Qsymia is a prescription drug that contains two active ingredients in one capsule: phentermine and topiramate.
Medication for fatty liver: Rezdiffra and other options
Key takeaways Rezdiffra is the first FDA-approved treatment for fatty liver disease with scarring that can help reduce fat, inflammation, and fibrosis. GLP-1 receptor agonists like Ozempic and Mounjaro support liver health by lowering liver fat, improving blood sugar, and supporting weight loss. Other options, such as thiazolidinediones, SGLT2 inhibitors, and statins, may help manage fatty liver disease by managing related metabolic problems.
Switching from Lovenox to Eliquis: How to do it safely
Key takeaways Eliquis is a convenient oral alternative to Lovenox that eliminates the need for self-injections. While both drugs prevent blood clots, Eliquis directly inhibits Factor Xa, while Lovenox enhances antithrombin III to reduce clot formation. The transition from Lovenox to Eliquis is typically seamless and timed with the next scheduled Lovenox dose to avoid gaps in treatment.
Switching from Xarelto to Eliquis: How to do it safely
Key takeaways Eliquis and Xarelto are both FDA-approved blood thinners to prevent complications from blood clots but differ in dosages. Switching from Xarelto to Eliquis doesn’t require tapering but should be timed carefully to avoid gaps in treatment. Studies show Eliquis may lower the chance of stroke and major bleeding compared to Xarelto. In this article Xarelto (rivaroxaban) and Eliquis (apixaban) are both anticoagulants (blood thinners) used for similar purposes.
Can you drink on bupropion?
Key takeaways Drinking alcohol while taking Wellbutrin can lead to serious side effects, including seizures and worsened depression. Alcohol may worsen Wellbutrin side effects, like dizziness, nausea, or confusion. Some people may tolerate light drinking on Wellbutrin, but only after speaking with a healthcare provider, as the effects can be unpredictable.
Can you buy baclofen over the counter?
Key takeaways Baclofen is a prescription-only muscle relaxer used to treat muscle spasms and tightness from multiple sclerosis or spinal cord injuries. You cannot buy baclofen over the counter in the U.S. because it can cause side effects like drowsiness, dizziness, and nausea, and stopping it suddenly may lead to serious withdrawal symptoms. No muscle relaxers are sold over the counter, but pain relievers like ibuprofen or acetaminophen may help with muscle pain.
How much does ropinirole cost without insurance?
Key takeaways Ropinirole is a dopamine agonist used to treat Parkinson’s disease and restless legs syndrome by mimicking dopamine in the brain. The brand-name versions Requip and Requip XL have been discontinued, but the generic form of ropinirole remains widely available. Without insurance, ropinirole costs around $81 for 30, 1 mg tablets, but prescription discount cards may help lower the price.
Can you drink on lamotrigine?
Key takeaways Drinking alcohol can worsen the common side effects of lamotrigine, like nausea, vomiting, drowsiness, and dizziness. People with kidney or liver problems and older adults should be especially cautious when mixing alcohol and lamotrigine. It’s not recommended to drink alcohol when first starting lamotrigine until your condition is controlled and you know how the medication affects you.
Does Kaiser cover Mounjaro?
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Can you drink alcohol while taking levetiracetam?
Key takeaways Mixing alcohol with levetiracetam can worsen drowsiness, dizziness, cognitive issues, and mood changes. It may also reduce the drug’s effectiveness and increase seizure risks. Older adults and those with kidney problems may be at a higher risk of complications from combining the two. Levetiracetam, known by the brand name Keppra, is an important medication for many people who live with seizure disorders.
Best spironolactone alternatives and what to know before switching
Key takeaways For heart-related medical conditions, options like ACE inhibitors, ARBs, beta-blockers, and other diuretics are available. Spironolactone is often used off-label for hormonal acne and hirsutism, especially in women with PCOS. Common alternatives include birth control pills, anti-androgens, and oral antibiotics. Spironolactone, commonly known by its brand name Aldactone, is a prescription medication that works as a potassium-sparing diuretic.
Can you drink on venlafaxine?
Key takeaways Drinking alcohol while taking venlafaxine can worsen side effects like nausea, drowsiness, and sexual dysfunction. Mixing venlafaxine with alcohol may increase the risk of serious complications, including serotonin syndrome and bleeding. Some people may be able to drink in moderation with a provider’s guidance if they understand how both substances affect them.
Exploring the expanding role of GLP-1 medications in health care
Key takeaways GLP-1 receptor agonists can help support healthy blood glucose levels and manage appetite with a range of approved indications. Research suggests GLP-1 medications may treat kidney disease, neurodegenerative disorders, and gastrointestinal conditions, among other non-approved conditions. Evidence also shows benefits for peripheral neuropathy and liver diseases via distinct pathways and mechanisms of action.
6 ways to save money on Rybelsus
Key takeaways Rybelsus (semaglutide) is an FDA-approved oral medication used to treat Type 2 diabetes by improving blood sugar control. It is sometimes prescribed off-label for weight loss, but most insurers do not cover it for this purpose. The average retail price for a 30-day supply of Rybelsus (7 mg tablets) is approximately $1,358.
When is the best time to take Victoza for weight loss?
Key takeaways Victoza (liraglutide) is a glucagon-like peptide-1 (GLP-1) receptor that is FDA-approved to treat Type 2 diabetes and prevent heart attack, stroke, or death from heart disease. It’s sometimes used off-label for weight loss. However, Saxenda is the liraglutide version approved for weight management. When using liraglutide for diabetes or weight loss, taking it at the same time each day can improve its effectiveness and lower the chances of side effects.
Compounded semaglutide side effects
Key takeaways Compounded semaglutide lacks FDA approval, leading to risks like dosing errors, contamination, and unknown side effects. Side effects of semaglutide may include nausea, vomiting, constipation, gallbladder problems, and low blood sugar. The quality and effectiveness of compounded medications vary due to less rigorous safety checks than FDA-approved medications.
Does insurance cover compounded semaglutide?
Key takeaways Compounded semaglutide isn’t approved by the FDA, so most insurance companies won’t pay for it. Compounded versions may have inconsistent formulations and could pose safety risks. FDA-approved medications like Wegovy may be more reliable and might be covered by some insurance plans. Cost-saving options like patient assistance programs or discount cards may help manage the costs of FDA-approved semaglutide. Semaglutide is a drug that’s gotten a lot of attention lately.
Compounded GLP-1 medications: Are they safe?
Key takeaways Compounded GLP-1 agonists may be cheaper and more available than brand-name versions but lack FDA approval, raising safety and quality concerns. Compounded medications carry risks like contamination, incorrect dosing, and unpredictable results compared to approved medications. Side effects with compounded GLP-1 products may include nausea, vomiting, and rare but serious conditions like pancreatitis.
Not losing weight on compounded semaglutide? Here’s why
Key takeaways Compounded semaglutide is not FDA approved, making its safety and effectiveness uncertain. Differences in how it’s made or stored can make compounded semaglutide less effective. Incorrect injection techniques and underlying health problems may slow weight-loss results with semaglutide or its compounded forms. Consult a healthcare provider before using any form of semaglutide to ensure proper dosing and safety.
Does microdosing Ozempic work?
Key takeaways Many people are turning to microdosing, an off-label use of the injectable diabetes medication Ozempic (semaglutide), in an attempt to receive some of the medication’s benefits, such as weight loss, without taking a full dose. The approved starting dosage of Ozempic is 0.25 mg once weekly, which can be titrated up to 2 mg per week once weekly. Experts say that current data does not suggest that microdosing Ozempic will be very effective.
Januvia generic availability, cost, and dosage
Key takeaways Januvia is a popular DPP-4 inhibitor used to manage Type 2 diabetes but has no generic equivalent in the U.S. yet. A generic version of Januvia may become available in 2026 after the expiration of its key patent. Zituvio, a generic form of sitagliptin, is FDA-approved but not interchangeable with Januvia. Januvia and Zituvio share the same active ingredient and therapeutic effects but differ in cost and appearance.
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